HomeMy Public PortalAbout5228 KAUFFMAN AVE_Electrical__ l
76A664`E.806NF6/78' APPLICATION FOR ELECTRICAL PERMIT "
COUNTY OF LOS ANGELES BUILDINVND SAFETY
FOR APPLICANT TO FILL IN JOB
ADDRESS C.l
19F!tn 92
New Residential Bldgs &Pools EACH NO FEE.
1 &2-Family,Sq Ft. $ — $ LOCALITY '
Multi-family Scl Ft — NEAREST
Residential Swimming Pools CROSS ST
OWNER OR
1� FIRM NAME
Outlets RecJ1—LightSw MAIL
First 20 Sn �d ADDRESS
Total No �'3 Additional •3 3 CITY Tel
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 �� ADDRESS-
co
No' _ Additional CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT �.
Range_HeaterL D W APPLICANT
Oven—Dryer_W M _ ADDRESS Q fid" 4,0i
Top _FAU —W H CITY ` Tel No O0
Hood_Fan _Other_' .� LICENSE OR
Disp —Room Air Cond 'J / REG NUMBER, 6 Oci-C-1,10
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus'&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP; KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS
REGULATING ELECTRICAL WIRING L
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl ;DESCRIBED
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U
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Over 10 to 50 Incl.-, ORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL'PROPERTY 0
Over 50 to 100 Inc TEEOver 100 TUREServices ICT NO. PRO SSE Y
0-200 Amp Under 600 V
201-1000 Amp Under 600 V
Over 1000 Amp or Over 600 V .71 z0-3 0,�3 4,1
S- f
Temp Power Pole&Appurtenances Q
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION >
INFORMATION - U
Misc.Conduits&Conductors 'ON-REVERSE i
Other(See Complete Fee Schedule) SIDE " 49 9.8 A
2
•� #,0.0 O O 0,2
2 o'o 3'a 9 0'
PERMIT FEE (Sub-Total)
3 5 40
z' �
PLAN CHECKING FEE (One-Fourth Permit Feel O
PERMIT ISSUING FEE c 0'� 9;-?9
- J
TOTAL FEE 35 ' >
INSPECTION INA
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date /9 By Os
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76A663CE-806(6/76) APPLICATI N FOR R ELECTRICAL PERMIT'
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools EACH NO FEE 1 ADDRESS J D
1 &2-Family,Sq Ft $ 025 — $ LOCALITY L� �v `
Multi-family Sq,Ft 02 —25 00 CROSS ST NEAREST
Residential Swimming Pools _ OWNER OR /
FIRM NAME ! ��
Outlets Rec Light SW MAIL p
First 20 50 ADDRESS' /��'� –
Total No Additional 30, CITY Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional .30 _
Total No CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range—Heater_ D W _ APPLICANT
Oven_Dryer_ W M
ADDRESS
Top _FAU — W H CITY` N qQ/ Tel
Hood_Fan _Other_ LICENSE ORG/Q
Disp —Room Air Cond 2 50 REG NUMBE Class
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICA.
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T e HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
yp REGULATING ELECTRICAL WIRING
2.50
Up t 11 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR-
Over 1 to 10 500 Incl ^' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 91
Over 10 to 50 Incl 12 50 CALIFORNIA OR-THAT I AM THE L AOWNER OF TH A OVE
DESCRIBED RESIDENTIAL PROPERT .
Over 50 to 100 Inc 25.00
40 00 PERMITEE
Over 100 SIGNATURE `�v
Services - DISTRICT NO- PED BY
0-'200 Amp Under 600 V 12 50 ' U
201-1000 Amp Under 600 V 25 00 , U
Over 1000 Amp or Over 600 V 5000 ry -
Temp Power Pole&Appurtenances 1000 �V '3'J9 j7F-t)O�Q
Sign with One.Branch Circuit 1000
Additional Sign Branch Circuits 200 INSPECTION >
10 00 INFORMATION 2
Misc Conduits&Conductors ON REVERSE x "
Other(See Complete Fee Schedule) SIDE
X48611 A
PERMIT FEE (Sub-Total) 2 0 1,200.
PLAN CHECKING FEE (One-Fourth Permit Feel O 0 0 0 1 2 0 0
PERMIT ISSUING FEE
$7.00 Q'Q 1 1 '—7 9
J
TOTAL FEE J �– �• >
r
INSPECTION F NAI ED
date l� I177 By